Yamagishi M, Fujiwara K, Itoh K, Wada Y, Kitamura N
Department of Cardiovascular Surgery, Children's Research Hospital, Kyoto Prefectural University of Medicine, Japan.
Jpn J Thorac Cardiovasc Surg. 2000 Feb;48(2):115-7. doi: 10.1007/BF03218102.
An 8-year-old girl who weighed 42 kg presented Ebstein's anomaly with severe tricuspid incompetence, and mild systemic cyanosis during exercise. A new reconstructive procedure for this complex anomaly was used. Oblique transference of the displaced posterior leaflet was performed, which resulted in plication of the atrialized ventricle and reduction in the tricuspid annular diameter. This procedure requires neither detachment nor closure of the tricuspid valve.
一名体重42公斤的8岁女孩患有埃布斯坦畸形,伴有严重的三尖瓣关闭不全,运动时出现轻度全身性发绀。采用了一种针对这种复杂畸形的新重建手术。对移位的后叶进行了斜向转移,这导致了心房化心室的折叠和三尖瓣环直径的减小。该手术既不需要分离也不需要关闭三尖瓣。